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Updated: Jun 8, 2025
Combined Near-infrared Fluorescent Imaging and Micro-computed Tomography for Directly Visualizing Cerebral Thromboemboli
Published on: September 25, 2016
Calcified cerebral emboli associated with calcified carotid plaque: a case report and morphological consideration for
Kazushi Kitamura1, Koichi Iwasaki2, Tatsuya Yano1
1Department of Neurosurgery, Ainomiyako Neurosurgery Hospital, 2-21-16 Hanatenhigashi, Tsurumi-ku, Osaka, 538-0044, Japan.
Abstract:
We described a rare case of acute ischemic stroke due to calcified cerebral emboli from calcified carotid plaque (CCP). Radiological examinations revealed that the CCP had an irregular configuration containing a calcified nodule and scattered spotty calcifications, and a large calcified plate. The patient underwent carotid endarterectomy to prevent embolic recurrence. Histopathological examination confirmed the presence of an erupted plaque with a disrupted fibrous cap. Calcified nodular protrusion and spotty calcifications in CCP are predictive of a high risk of embolic stroke with plaque rupture. Thus, careful treatment strategies are crucial to prevent the CCP-related embolic recurrence.
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